MEDICARE: CAPE REGIONAL URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1649071481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE REGIONAL URGENT CARE LLC

Provider Business Mailing Address
First Line	:	133 BELLEVUE AVE
Second Line	:
City	:	HAMMONTON
State	:	NJ
Zip	:	08037-1517
Country	:	US
Telephone Number	:	609-465-6364
Fax Number	:	609-704-5165

Provider Business Practice Location Address
First Line	:	133 BELLEVUE AVE
Second Line	:
City	:	HAMMONTON
State	:	NJ
Zip	:	08037-1517
Country	:	US
Telephone Number	:	609-465-6364
Fax Number	:	609-704-5165

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JOHN S RUSKEY
Credential	:	DO
Telephone Number	:	609-465-6364

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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